Individual
PAMELA SEYMOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820
(580) 436-3980
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
72897
OK
Other
Enumeration date
02/04/2016
Last updated
08/17/2018
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